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Past Performance Questionnaire

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SPE300-16-R-0003 SUBSISTENCE PRIME VENDOR JAPAN, SINGAPORE, DIEGO

GARCIA, THE PHILIPPINES AND THE ISLAND OF OKINAWA

PAST PERFORMANCE QUESTIONNAIR – ATTACHMENT 7

DLA Troop Support

Performance Questionnaire

Your willingness to complete the following questionnaire is appreciated. The information that you provide will be used in the awarding of a federal contract(s). Therefore, it is important that your information be as factual, accurate, and complete as possible to preclude the need for any follow-up by the evaluators. Request that the completed questionnaire is returned via e-mail to Jacob.Slotnick@dla.mil, Cynthia.Cahill@dla.mil, and Thomas.Garofalo@dla.mil . Thank you.

Contract Information:

Evaluator’s Name & Agency/Company __________________________________________

Evaluator’s Phone Number __________________________________________

Evaluator’s E-mail Address __________________________________________

Contract Number __________________________________________

Contractor’s Name __________________________________________

Contractor’s Address __________________________________________

Contractor’s CAGE Code, if applicable __________________________________________

Contract Award Date __________________________________________

Contract Annual Dollar Value __________________________________________

Contract Term (Start date and End date) __________________________________________

Description of Supplies/Services Provided

SPE300-16-R-0003 SUBSISTENCE PRIME VENDOR JAPAN, SINGAPORE, DIEGO

GARCIA, THE PHILIPPINES AND THE ISLAND OF OKINAWA

PAST PERFORMANCE QUESTIONNAIR – ATTACHMENT 7

Contract Performance

Please circle, underline, or highlight in bold, one of the numbers for each question using the most appropriate scale description:

Excellent Very Good Acceptable Poor Unacceptable N/A No Rare Occasional Frequent Daily Problems N/A Problems Problems Problems Problems 5 4 3 2 1 N/A

1. Warehousing operations 5 4 3 2 1 N/A

2. Quality control & condition of delivered products 5 4 3 2 1 N/A

3. Customer support and satisfaction 5 4 3 2 1 N/A

4. Fill Rates (product accepted/product ordered) 5 4 3 2 1 N/A

5. Financial management 5 4 3 2 1 N/A

6. Overall Contract Performance 5 4 3 2 1 N/A

REMARKS (instances of problems or instances of exceptional performance):________________

Note: N/A means Not Applicable.

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